The Effect of Intensive Short-Term Dynamic Psychotherapy on Emotion Regulation and Health Hardiness in Patients with Type 2 Diabetes

Subject Areas : Journal of Excellence in counseling and psychotherapy

Gholamreza  Sanagouye Moharer ¹ (Assistant Professor, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran)
Fatemeh Soghra  Karbalai Harafteh ² (Assistant Prof, Dept of Educational Sciences, Zahedan Branch, Islamic Azad University, Zahedan, Iran.)
Fatemeh  Kahaki ³ (Assistant Professor, Department of Psychology, Payame Noor University, Zahedan, Iran)
Razieh  Khosravi ⁴ (PhD Students, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran)
Hanieh  Nobakht ⁵ (PhD Students, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran)

Received: 2021-04-04 Accepted : 2021-04-24 Published : 2021-11-22

Keywords: emotion regulation, Type 2 diabetes, Intensive Short-Term Dynamic Psychotherapy, Health Hardiness,

Abstract :

Purpose: Present study was conducted aimed to determine the effect of intensive short-term dynamic psychotherapy on emotion regulation and health hardiness in patients with type 2 diabetes.Methodology: This study was semi-experimental with a pre-test and post-test design with control group. The research population was patients with type 2 diabetes of Zahedan city in 2020 year. The research sample were 40 people who were selected by available sampling method and randomly replaced into two equal groups. The experimental group 8 sessions of 90-minute underwent the intensive short-term dynamic psychotherapy and the control group did not see any training. The research tools were the Gross and John emotion regulation questionnaire (2003) and Gebhardt and et al revised health hardiness inventory (2001). Data were analyzed by methods of chi-square, independent t and multivariate analysis of covariance in SPSS version 25 software.Findings: The findings showed that the experimental and control groups had not significantly different in terms of age, gender, education, marriage and duration of disease (P>0.05). Also, the groups in the pre-test stage had not significantly different in terms of emotion regulation and health hardiness (P>0.05), but in the post-test stage had significantly different in terms of both variables (P<0.05). In the other words, intensive short-term dynamic psychotherapy significantly increased emotion regulation and health hardiness in patients with type 2 diabetes (P<0.001).Conclusion: Due to the effect of intensive short-term dynamic psychotherapy on increasing emotion regulation and health hardiness, planning is necessary for the use of this treatment. As a result, health professionals and therapists can use intensive short-term dynamic psychotherapy along with other therapies methods to improve the psychological characteristics, especially improving emotion regulation and health hardiness.

References:

Archer JA, Lee A, Qiu A, Chen SA. (2018). Functional connectivity of resting-state, working memory and inhibition networks in perceived stress. Neurobiology of Stress; 8, 186-201.

Bell HM. (1961). Bell adjustment inventory manual. Palo Alto: Consulting Psychologist Press.

Blazquez MH, Cruzado JA. (2016). A longitudinal study on anxiety, depressive and adjustment disorder, suicide ideation and symptoms of emotional distress in patients with cancer undergoing radiotherapy. Journal of Psychosomatic Research; 87: 14-21.

Cohen S, Kamarck T, Mermelstein R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior; 24(4): 385-396. [Link] Coto-Lesmes R, Fernandez-Rodriguez C, Gonzalez-Fernandez S. (2020). Acceptance and commitment therapy in group format for anxiety and depression. A systematic review. Journal of Affective Disorders; 263: 107-120.

Duncan N, Zimmer-Gembeck MJ, Furman W. (2019). Sexual harassment and appearancebased peer victimization: Unique associations with emotional adjustment by gender and age. Journal of Adolescence; 75: 12-21.

Engels MC, Pakarinen E, Lerkkanen M, Verschueren K. (2019). Students' academic and emotional adjustment during the transition from primary to secondary school: A crosslagged study. Journal of School Psychology; 76: 140-158.

Guarini A, Bonifacci P, Tobia V, Alessandroni R, Faldella G, Sansavini A. (2019). The profile of very preterm children on academic achievement. A cross-population comparison with children with specific learning disorders. Research in Developmental Disabilities; 87: 54- 63.

Hayes SC, Follette VM, Linehan MM. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press.

Karimi M, Aghaei A. (2018). The effectiveness of group application of acceptance and commitment therapy on anxiety, depression, and stress among high school female students. International Journal of Educational & Psychological Researches; 4(2): 71-77.

Luoma JB, Sabucedo P, Eriksson J, Gates N, Pilecki BC. (2019). Toward a contextual psychedelic-assisted therapy: Perspectives from Acceptance and Commitment Therapy and contextual behavioral science. Journal of Contextual Behavioral Science; 14: 136-145.

Matteucci MC, Scalone L, Tomasetto C, Cavarini G, Selleri P. (2019). Health-related quality of life and psychological wellbeing of children with Specific Learning Disorders and their mothers. Research in Developmental Disabilities; 87: 43-53.

Mirzaeidoostan Z, Zargar Y, Zandi Payam A. (2019). The effectiveness of acceptance and commitment therapy on death anxiety and mental health in women with HIV in Abadan city, Iran. Iranian Journal of Psychiatry and Clinical Psychology; 25(1): 2-13.

Mohammadi SY, Soufi A. (2020). The effectiveness of acceptance and commitment treatment on quality of life and perceived stress in cancer patients. Quarterly Journal of Health Psychology; 8(4): 57-72.

Mousavi M, DashtBozorgi Z. (2018). Effect of acceptance and commitment group therapy (ACT) on the hardness and perceived stress coefficient among patients with type 2 diabetes. Iran J Health Educ Health Promot; 5(4): 311-319.

Noori L, Haghighat S, Ashoori J. (2017). The effect of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students. Iranian Journal of Nursing Research; 12(4): 52-59.

Pakenham KI. (2015). Effects of acceptance and commitment therapy (ACT) training on clinical psychology trainee stress, therapist skills and attributes, and ACT processes. Clinical Psychology & Psychotherapy; 22(6): 647-655.

Punzi E, Lindgren K. (2019). Relationships, emotions, and defenses among patients with substance use disorders, assessed with Karolinska psychodynamic profile: Possibilities to use intensive short-term dynamic psychotherapy in substance abuse treatment. Alcoholism Treatment Quarterly; 37(4): 481-486.

Shaker Ardakani L, Rahimi M, Saleh Zadeh M. (2017). Effect of commitment and acceptance therapy on social and emotional adjustment in mothers of children with mental and physical disabilities. Moddle Eastern Journal of Dosability Studies; 7: 77-77.

Spivey CA, Havrda D, Stallworth S, Renfro C, Chisholm-Burns MA. (2020). Longitudinal examination of perceived stress and academic performance of first-year student pharmacists. Currents in Pharmacy Teaching and Learning; 12(9): 1116-1122.

Toffalini E, Pezzuti L, Cornoldi C. (2017). Einstein and dyslexia: Is giftedness more frequent in children with a specific learning disorder than in typically developing children? Intelligence; 62: 175-179.

Ward A, Arola N, Bohnert A, Lieb R. (2017). Social-emotional adjustment and pet ownership among adolescents with autism spectrum disorder. Journal of Communication Disorders; 65: 35-42.

Whiting D, Deane F, McLeod H, Ciarrochi J, Simpson G. (2020). Can acceptance and commitment therapy facilitate psychological adjustment after a severe traumatic brain injury? A pilot randomized controlled trial. Journal of Neuropsychological Rehabilitation; 30(7): 1348-1371.

Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan C, et al. (2019). Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology; 156(4): 935-945.

Xia Y, Ma Z. (2020). Social integration, perceived stress, locus of control, and psychological wellbeing among Chinese emerging adult migrants: A conditional process analysis. Journal of Affective Disorders; 267: 9-16.

Yamaguchi A, Kim M, Oshio A, Akutsu S. (2017). The role of anger regulation on perceived stress status and physical health. Personality and Individual Differences; 116: 240-245.